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NPI Code Detail

MEDICARE: SHERRYL VAUGHT LCSW

MEDICARE: SHERRYL VAUGHT LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerLCSW #C-499AR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1578690517
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHERRYL VAUGHT LCSW
Provider Business Mailing Address
First Line : 311 WHITTINGTON AVE
Second Line :
City : HOT SPRINGS
State : AR
Zip : 71901-3407
Country : US
Telephone Number : 501-623-3477
Fax Number : 501-624-7498
Provider Business Practice Location Address
First Line : 311 WHITTINGTON AVE
Second Line :
City : HOT SPRINGS
State : AR
Zip : 71901-3407
Country : US
Telephone Number : 501-623-3477
Fax Number : 501-624-7498
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2007
Last Update Date : 10/15/2019

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